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目的 通过 1 999～ 2 0 0 2年卫生部 -联合国儿童基金会《农村初级卫生保健项目》的项目县妇女分娩前后所接受卫生服务调查、分析影响住院分娩的因素及各年统计数据的比较 ,来评价农村初级卫生保健项目的执行情况和效果 ,并提出促进母亲安全分娩的有效措施。方法 采用分层多阶段随机抽样法 ,获取样本。并采取问卷的形式进行调查。结果 产前检查率占 97 1 % ,检查地点仍以乡卫生院 53 7%为主。住院分娩率呈持续上升的趋势 ,从 1 999年的 2 8 6 %上升到 2 0 0 2年的 76 1 % ,分娩地点由以家里为主 ,转变到以乡卫生院及县及以上医院 ,乡卫生院医生将承担主要的接生工作。住院分娩费用也在逐年提高。结论 住院分娩的宣传工作收到了一定的成效。为保证产妇安全分娩 ,还需加强乡卫生院工作及妇女的宣传教育工作 ,降低住院分娩收费标准 ,使她们能主动去医院分娩。
Objective To investigate the factors influencing inpatient childbirth and the comparisons of the statistical data of different years through the survey of health services conducted before and after childbirth by the Ministry of Health-UNICEF Rural Primary Health Care Project from 1999 to 2002, To evaluate the implementation and effectiveness of rural primary health care projects and to propose effective measures to promote safe delivery of mothers. Methods The stratified multi-stage random sampling method was used to obtain samples. And take the form of a questionnaire survey. Results The rate of prenatal examination was 97.1%. The examination sites were still mainly 53.7% of township hospitals. The rate of hospital delivery continued to increase, rising from 286% in 1999 to 76.1% in 2001. The place of delivery was mainly from the home and was transferred to rural hospitals and hospitals at county level and above. Township hospitals doctors will undertake the main delivery. Hospital delivery costs are also increasing year by year. Conclusion The propaganda work in hospital delivery received some results. In order to ensure the safe delivery of mothers, we also need to strengthen the work of township hospitals and women’s propaganda and education so as to lower the fees for hospital delivery and enable them to take the initiative to go to the hospital for delivery.